Adventist Health Castle in Hawaii was among the hospitals on the America’s 250 Best Hospitals list. That list represents the top 5 percent of hospitals providing excellent patient care.

Hospitals on the lists were rated on patient outcomes for 32 medical conditions and procedures. Those honored demonstrated quality care consistently, allowing patients to be treated without major complications, according to Healthgrades.com.

Patients who received care at the hospitals that made the lists received on average a 27.1 lower risk of dying than those treated at other U.S. hospitals, the study found.